Final Exam NURS 2873 med/surg ch 48, fundamentals ch 41
Quiz by Kelsey Maier
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100 questions
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- Q1Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct?Type 2 diabetes is usually diagnosed when the patient is admitted with a hyperglycemic coma.Changes in diet and exercise may control blood glucose levels in type 2 diabetes.Insulin is not used to control blood glucose in patients with type 2 diabetes.Complications of type 2 diabetes are less serious than those of type 1 diabetes.60s
- Q2A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient aboutself-monitoring of blood glucose.effects of oral hypoglycemic medications.lifestyle changes to lower blood glucose.using low doses of regular insulin.60s
- Q3A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?The patient always carries hard candies when engaging in exercise.The patient goes for a vigorous walk when his glucose is 200 mg/dL.The patient increases daily exercise when ketones are present in the urine.The patient has a peanut butter sandwich before going for a bicycle ride.60s
- Q4The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1 diabetes. To which question would the nurse anticipate a positive response?“Is your urine dark colored?”“Do you crave sugary drinks?”“Have you lost weight lately?”“Are you anorexic?”60s
- Q5A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?Oral glucose toleranceFasting blood glucoseUrine dipstick for glucoseGlycosylated hemoglobin60s
- Q6The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI) of 31 kg/m2.Which goal in the plan of care is most important for this patient?The patient will state the reasons for eliminating simple sugars in the diet.The patient will reach a glycosylated hemoglobin level of less than 7%.The patient will choose a diet that distributes calories throughout the day.The patient will follow a diet and exercise plan that results in weight loss.30s
- Q7A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. The clinic nurse will plan to teach the patient todelay eating the noon meal until after the swimming class.increase the morning dose of neutral protamine Hagedorn (NPH) insulin.check glucose level before, during, and after swimming.time the morning insulin injection so that the peak occurs while swimming.60s
- Q8The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?“I can choose any foods, as long as I use enough insulin to cover the calories.”“I can have an occasional beverage with alcohol if I include it in my meal plan.”“I will eat something at meal times to prevent hypoglycemia, even if I am not hungry.”“I will need a bedtime snack because I take an evening dose of NPH insulin.”60s
- Q9To assist an older patient with diabetes to engage in moderate daily exercise, which action is most important for the nurse to take?Determine what types of activities the patient enjoys.Remind the patient that exercise improves self-esteem.Teach the patient about the effects of exercise on glucose level.Give the patient a list of activities that are moderate in intensity.60s
- Q10Which statement by the patient indicates a need for additional instruction in administering insulin?“I do not need to aspirate the plunger to check for blood before injecting insulin.”“I should draw up the regular insulin first, after injecting air into the NPH bottle.”“I can buy the 0.5-mL syringes because the line markings will be easier to see.”“I need to rotate injection sites among my arms, legs, and abdomen each day.”30s
- Q11Which patient action indicates good understanding of the nurse’s teaching about administration of aspart (NovoLog) insulin?The patient pushes the plunger down while removing the syringe from the injection site.The patient avoids injecting the insulin into the upper abdominal area.The patient stores the insulin in the freezer after administering the prescribed dose.The patient cleans the skin with soap and water before insulin administration.60s
- Q12A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time would the nurse anticipate the highest risk for hypoglycemia?4:00 PM2:00 PM10:00 AM12:00 AM60s
- Q13Which patient action indicates a good understanding of the nurse’s teaching about the use of an insulin pump?The patient takes the pump off at bedtime and starts it again each morning.The patient programs the pump for an insulin bolus after eating.The patient plans a diet with more calories than usual when using the pump.The patient changes the location of the insertion site every week.60s
- Q14A patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?Lispro (Humalog)NPH (Humulin N)Glargine (Lantus)Detemir (Levemir)30s
- Q15Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide ?Glyburide should be taken even if the morning blood glucose level is low.Glyburide decreases glucagon secretion from the pancreas.Glyburide should not be used for 48 hours after receiving IV contrast media.Glyburide stimulates insulin production and release from the pancreas.30s